ZBH-16475-16608
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 980 / WA
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-26
Registered in v-safe
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2020-12-26
Dose 1 — Moderna
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2020-12-26
Survey response — day 0, dose 1MedDRA: Arthralgia — Feeling: Good · Site: Pain · Headache, Joint painsFree text: Shoulder 'joint' pain on the arm where I received the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Fair · HeadacheFree text: Shoulder joint pain in arm received injection. Possibly given too high in arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Injection site joint pain — Feeling: Fair · Site: Pain · HeadacheFree text: Shoulder joint pain in injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
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2021-01-09
Survey response — day 14, dose 1MedDRA: Injection site pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: The day of vaccine, the site was about a 5, then increased over the next couple days to a 10. Then gradually dissipated. Three days after resolving, the pain came back for about 2 days, again at about a 7 pain level. Then again dissipated to about 98MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-16
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2021-01-23
Survey response — day 28, dose 1MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The arm which I received my 1st vaccination has been painful off & on since receiving. It is about 99% normal, then randomly it starts hurting again for no reason.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Dose 2 — Moderna
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2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-04-30
- 2021-07-30
- 2022-01-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Moderna | |
| 2 | 2021-01-29 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-09 | priority 2/3 |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Shoulder 'joint' pain on the arm where I received the injection.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Shoulder joint pain in arm received injection. Possibly given too high in arm.
Systemic reaction (other): Shoulder joint pain in injection arm
Release 1 — day 14, dose 1
Symptoms: The day of vaccine, the site was about a 5, then increased over the next couple days to a 10. Then gradually dissipated. Three days after resolving, the pain came back for about 2 days, again at about a 7 pain level. Then again dissipated to about 98 cut off by CDC
Release 2 — day 28, dose 1
Symptoms: The arm which I received my 1st vaccination has been painful off & on since receiving. It is about 99% normal, then randomly it starts hurting again for no reason.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Injection site joint pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release